Ibrahim Medical College Journal最新文献_第5页

Cirrhosis of Liver and Diabetes Mellitus 肝硬化和糖尿病

Ibrahim Medical College Journal Pub Date : 2013-04-24 DOI: 10.3329/IMCJ.V6I2.14734

Smita Debsarma, Z. Islam

{"title":"Cirrhosis of Liver and Diabetes Mellitus","authors":"Smita Debsarma, Z. Islam","doi":"10.3329/IMCJ.V6I2.14734","DOIUrl":"https://doi.org/10.3329/IMCJ.V6I2.14734","url":null,"abstract":"Diabetes mellitus is being recognized as a serious global health problem and frequently associated with cirrhosis of liver. The cross-sectional comparative study was conducted among 83 diabetic cirrhotic patients admitted in Gastrointestinal Hepatobilliary and Pancreatic Disorders Department of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic disorders and 83 non-diabetic cirrhotic patients admitted in Gastroenterology and Hepatology Department of Bangabandhu Sheikh Mujibar Medical University, Dhaka to assess the relationship between cirrhosis of liver and diabetes mellitus. The study was carried out during the period of January to June, 2010 and data were collected through face to face interview and reviewing medical documents by using a semi-structured questionnaire and checklist. Male, Muslims and illiterate were predominant in both diabetic and non-diabetic cirrhotic patients. It was found that non-viral cirrhosis was much higher in older age group (51-60years) than in younger age group (41-50years) in comparison to viral cirrhosis and this difference was found statistically significant [÷ 2 (3) =20.97, p<0.001]. Association of non-viral cirrhosis was found with hyperglycemia [÷ 2 (1) =15.65, p<0.001], poor glycaemic control [÷ 2 (1) = 9.86, p<0.01] and longer duration of diabetes [÷ 2 (2) =9.51, p<0.01]. Non-viral cirrhosis was significantly higher (28.3%) among the diabetic patients than the non-diabetic patients who suffered more (28.3%) from viral [÷ 2 (1) =41.36, p<.001]. The study recommends for glycemic control by leading disciplined life and taking apposite therapy for prevention of non-viral cirrhosis among diabetic patients. DOI: http://dx.doi.org/10.3329/imcj.v6i2.14734 Ibrahim Med. Coll. J. 2012; 6(2): 59-63","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":"406 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131956181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Case of Intra-Osseous Meningioma of the Sphenoid Bone - A Case Report 蝶骨骨内脑膜瘤1例报告

Ibrahim Medical College Journal Pub Date : 2013-04-24 DOI: 10.3329/IMCJ.V6I2.14737

M. Ferdousi, M. Sharif, Hijbul Bahar, As Mohiuiddin, A. Hossain, S. G. Banu

引用次数: 1

VIRILIZATION IN A GIRL WITH ADRENOCORTICAL ADENOMA: A CASE REPORT 女童肾上腺皮质腺瘤男性化1例

Ibrahim Medical College Journal Pub Date : 2013-04-24 DOI: 10.3329/IMCJ.V6I2.14736

T. Haq, S. Ashrafuzzaman, Latif Za

引用次数: 0

POST VACCINATION MYELITIS IN A YOUNG WOMAN FOLLOWING ADMINISTRATION OF RABIES CHICK EMBRYO CELL VACCINE - A CASE REPORT 接种狂犬鸡胚胎细胞疫苗后发生年轻妇女脊髓炎1例报告

Ibrahim Medical College Journal Pub Date : 2013-04-24 DOI: 10.3329/IMCJ.V6I2.14738

S. Ikhtaire, M. Faiz

引用次数: 0

Control of Hospital Acquired Infection in Bangladesh - An Endeavor to be Strengthened 孟加拉国医院获得性感染控制有待加强

Ibrahim Medical College Journal Pub Date : 2013-04-23 DOI: 10.3329/IMCJ.V6I2.14726

J. Haq

{"title":"Control of Hospital Acquired Infection in Bangladesh - An Endeavor to be Strengthened","authors":"J. Haq","doi":"10.3329/IMCJ.V6I2.14726","DOIUrl":"https://doi.org/10.3329/IMCJ.V6I2.14726","url":null,"abstract":"Nosocomial or hospital acquired infection is a major cause of morbidity and mortality of patients attending the healthcare facilities all over the world. The issue of infection associated with medical practice probably dates back to over two thousand years when the medical healer started to practice surgical procedures.1 In the last two hundred years it has emerged as a matter of great concern with the rapid advancement of medical science. In the 1800s as many as 80% of all operations ended in infection. 2 For a long time medics refused to acknowledge the fact that infection could be afflicted by the healer during treatment until in mid 19th century, when Ignaz Philip Semmelweis in Vienna demonstrated the relationship between hand washing with chlorinated water and reduction of puerperal sepsis. He successfully demonstrated a dramatic reduction in the incidence of puerperal sepsis from over 8% to 2.3 % only by insisting on stringent hand washing with a solution of chlorinated water.2 The importance of controlling hospital infection was finally recognized by the work of Joseph Lister in mid sixties of 19th century by publication of his landmark paper ‘On the Antiseptic Principle in the Practice of Surgery’ in the British Medical Journal. He recognized the role of microbes and the use of carbolic acid, an antiseptic solution, in controlling surgical wound infections. These observations provided the basis for control of hospital acquired infections and thereby the importance of infection control was conceptualized. However, the introduction of penicillin in 1941 brought a negative blow to infection control practices in hospitals on a false perception that ‘penicillin the magic bullet’ would readily alleviate this problem. As a result, there was rapid decline in interest in hospital infection control activities. But this euphoria did not last long because of the outbreak of large staphylococcal pandemics in the 1950s which resulted in renewed interest on infection control programs in hospitals.3","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132544727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

RECURRENT MEDIASTINAL LIPOMA: A CASE REPORT 复发性纵隔脂肪瘤1例

Ibrahim Medical College Journal Pub Date : 2013-04-23 DOI: 10.3329/IMCJ.V6I1.14725

J. Sultana, Zinat Nasrin, Mahfuzar Rahman, Nayeema Rahman, A. K. Ahmedullah

引用次数: 0

Hyperclycemia, Young Age, Altered Sleep Habits: The Three Shifting Paradigms of Coronary Artery Disease Risk Stratification 高血糖、年轻、睡眠习惯改变:冠状动脉疾病风险分层的三种变化范式

Ibrahim Medical College Journal Pub Date : 2013-04-23 DOI: 10.3329/IMCJ.V6I2.14727

Irtiza Hasan, T. Rashid, I. Tasnim, M. M. Rhaman

{"title":"Hyperclycemia, Young Age, Altered Sleep Habits: The Three Shifting Paradigms of Coronary Artery Disease Risk Stratification","authors":"Irtiza Hasan, T. Rashid, I. Tasnim, M. M. Rhaman","doi":"10.3329/IMCJ.V6I2.14727","DOIUrl":"https://doi.org/10.3329/IMCJ.V6I2.14727","url":null,"abstract":"The study was undertaken to estimate the risk factors age, gender, race, obesity (BMI), glycemic status (prediabetes, diabetes), exercise and psychosocial factors (sleep, sadness) related to coronary artery disease (CAD). The data set for this study is the National Health Interview Survey (NHIS), which is a large scale, cross sectional, voluntary, household interview survey maintaining data on health status, health care access and progress towards achieving the national health objectives in the USA. A total of 26,965 (male/female =55.8/ 44.2%) subjects were included in the study. Of them, 79.9% were less than 65 years of age. Regarding obesity, overweight, obese and morbid obese were 34.8, 17.3 and 11.0%, respectively. Sadness of any degree was reported in 28%. Sleep duration was found 9h/d in 9.7%. Heart disease was reported in 4.9%. About 10% were reported to have diabetes and 4.1% prediabetes. 40% of the respondents’ maintained exercise once per week and only 12.8% maintained 10 or more times per week. Logistic regression estimated that compared with the non-diabetics, the subjects with prediabetes (OR 3.27, 95% CI, 2.32-4.59) and diabetes (OR 6.44 95% CI, 5.21-7.96) had excess risk of CAD, more significant in the younger subjects ( 65y). The risk of CAD was found significant in both prediabetes (OR 2.47, 95% CI, 1.44-4.23) and diabetes (OR 3.03, 95% CI, 2.16-4.24) as compared with nondiabetic group who slept >9h a day. The subjects with prediabetes or diabetes had excess risk for CAD compared with the non-diabetic subjects, which was more marked in the younger people. Again, compared with the non-diabetic people, the subjects with prediabetes or diabetes, having less sleep or excess sleep, had excess risk for CAD. Further study may confirm our findings. DOI: http://dx.doi.org/10.3329/imcj.v6i2.14727 Ibrahim Med. Coll. J. 2012; 6(2): 39-45","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":"531 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132388123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Virulence Factors and Antibiotic Susceptibility Pattern of Acinetobacter Species in a Tertiary Care Hospital in Bangladesh 孟加拉国一家三级医院不动杆菌种类的毒力因素和抗生素敏感性模式

Ibrahim Medical College Journal Pub Date : 2013-04-23 DOI: 10.3329/IMCJ.V6I1.14722

Azizun Nahar, S. Anwar, A. Saleh, R. Miah

{"title":"Virulence Factors and Antibiotic Susceptibility Pattern of Acinetobacter Species in a Tertiary Care Hospital in Bangladesh","authors":"Azizun Nahar, S. Anwar, A. Saleh, R. Miah","doi":"10.3329/IMCJ.V6I1.14722","DOIUrl":"https://doi.org/10.3329/IMCJ.V6I1.14722","url":null,"abstract":"Acinetobacter species are aerobic Gram variable coccobacilli that are now emerging as an important nosocomial pathogen. Infections caused by them are difficult to control due to multidrug resistance. The purpose of this study was to detect virulence factors namely gelatinase production, biofilm formation and antibiotic susceptibility of Acinetobacter species. Two hundred fifty six clinical samples collected from Bangabandhu Sheikh Mujib medical University (BSMMU) and from burn unit of Dhaka Medical College Hospital were included in the study. Gelatinase production was seen on Luria Bertani agar media containing gelatin (30 gm/l) and biofilm formation was detected in microtiter plate assay. Out of 256 clinical samples, 52 (20.3%) were Acinetobacter species . Out of 52 Acinetobacter isolates, none were gelatinase producer but 39 (75%) were found biofilm producers. Acinetobacter isolates were 100% resistant to ceftazidime, cefotaxime cefuroxime and ceftriaxone. High level of resistance was also recorded for amoxicillin (98.1%), aztreonam (98.1%), gentamicin (90.4%), ciprofloxacin (73.1%), amikacin (57.6%), netilmicin (53.8%) and imipenem (44.2%). Susceptibility to colistin was maximum (96.2%). The present study demonstrated a high propensity of biofilm formation by the clinical isolates of Acinetobacter species and most of the Acinetobacter were multidrug resistant. DOI: http://dx.doi.org/10.3329/imcj.v6i1.14722 Ibrahim Med. Coll. J. 2012; 6(1): 27-30","PeriodicalId":226732,"journal":{"name":"Ibrahim Medical College Journal","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129776373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Diagnosis of Tubercular Lymphadenitis by PCR of Fine Needle Aspirates 细针穿刺PCR诊断结核性淋巴结炎

Ibrahim Medical College Journal Pub Date : 2013-04-23 DOI: 10.3329/IMCJ.V6I2.14728

M. Parvez, Mohiuddin, Z. Hassan, F. Ahmad, J. Haq

引用次数: 5

A Complex Case of Haemoglobin E Disease with Immune Thrombocytopenia and Combined Iron, Folate and Vit B12 Deficiency E型血红蛋白病伴免疫性血小板减少症合并铁、叶酸和维生素B12缺乏的复杂病例

Ibrahim Medical College Journal Pub Date : 2013-04-23 DOI: 10.3329/IMCJ.V6I1.14723

S. Islam, T. Dipta, G. S. Sultana

引用次数: 0